Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03801 | Date 20/02/2023 |
| Token No | SM/24-25/21283 27/04/2024 | Serial | 051 |
| Patient Name | Mr. DIPAK GHORUI | Contact No | 7449452031 |
| Address | 38/C B B GHOSH ROAD SERAMPORE 712203 | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||